ReviewInternational orthopaedics2019
Cervical disc herniation: which surgery?
Review in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- Anterior cervical discectomy and fusion versus posterior cervical foraminotomy for the treatment of single-level unilateral cervical radiculopathy: a meta-analysis.Journal of orthopaedic surgery and research · 2020Pooled it
- Pragmatic Randomized Controlled Trial of Pharmacopuncture Therapy for Cervical Disc Herniation: A Pilot Study.Journal of pain research · 2025Trial
- Article
- Comparative Study of Lumbar Disc Prolapse Surgery With or Without Coagulation: A Report of 2,180 Cases.Cureus · 2025Article
- Comparative efficacy of unilateral biportal endoscopic and full-endoscopic posterior cervical foraminotomy in the treatment of cervical spondylotic radiculopathy: a retrospective analysis.Neurosurgical review · 2024Article
- The influence of preoperative 12-item veterans rand physical component scores on outcomes following cervical disc replacement.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Multi-Level Posterior Cervical Foraminotomy Associated With Increased Post-operative Infection Rates and Overall Re-Operation Relative to Anterior Cervical Discectomy With Fusion or Cervical Disc Arthroplasty.Global spine journal · 2024Article
- Comparison of clinical outcomes between sequestered cervical disk herniation and non-sequestered cervical disk herniation after anterior cervical decompression and fusion: a cohort study.Journal of orthopaedic surgery and research · 2024Article
- Anterior cervical discectomy and fusion for the treatment of giant cervical disc herniation.Journal of orthopaedic surgery and research · 2023Article
- Multiple Myeloma: An Unexpected Cause of Dysphagia After Cervical Spine Surgery.World journal of oncology · 2023Article
- Article
- Unilateral Biportal Endoscopic Laminectomy for Treating Cervical Stenosis: A Technical Note and Preliminary Results.Medicina (Kaunas, Lithuania) · 2023Article
- A Bibliometric Analysis of the Top 100 Cited Articles in Anterior Cervical Discectomy and Fusion.Journal of pain research · 2022Article
- Comparison of Two Surgical Techniques for the Treatment of Canine Disc Associated-Cervical Spondylomyelopathy.Frontiers in veterinary science · 2022Article
- Posterior intraprosthetic dislocation of cervical arthroplasty: illustrative case.Journal of neurosurgery. Case lessons · 2021Article
- Establishment of a nomogram for predicting the surgical difficulty of anterior cervical spine surgery.BMC surgery · 2021Article
- Single level anterior cervical discectomy and fusion in multilevel herniated disc, a case report.Annals of medicine and surgery (2012) · 2020Article
- [Percutaneous endoscopic Key-Hole technology for treatment of paracentral cervical disc herniation].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020Article
- Disc herniation and disc disease: the present and the future of management.International orthopaedics · 2019Article
- Endoscopic spine discectomy: indications and outcomes.International orthopaedics · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeCervical disc herniation is a common pathology. It can be treated by different surgical procedures. We aimed to list and analyzed every available surgical option. We focused on the comparison between anterior cervical decompression and fusion and cervical disc arthroplasty.
resultsThe anterior approach is the most commonly used to achieve decompression and fusion by the mean of autograft or cage that could also be combined with anterior plating. Anterior procedures without fusion have shown good outcomes but are limited by post-operative cervicalgia and kyphotic events. Posterior cervical foraminotomy achieved good outcomes but is not appropriate in a case of a central hernia or ossification of the posterior ligament. Cervical disc arthroplasty is described to decrease the rate of adjacent segment degeneration. It became very popular during the last decades with numerous studies with different implant device showing encouraging results but it has not proved its superiority to anterior cervical decompression and fusion. Anterior bone loss and heterotopic ossification are still to be investigated.
conclusionAnterior cervical decompression and fusion remain the gold standard for surgical treatment of cervical disc herniation.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.